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Organization

SHRI KRISHAN PC

Active
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Organization

SHRI KRISHAN PC

Active
Other names
CHASE MEDCARE
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARCHANA RASTOGI MD (PRESIDENT)
(256) 426-8393
Entity
Organization

Contact information

Practice address
5107 MOORES MILL RD, HUNTSVILLE, AL 35811-1007
(256) 851-7190
(256) 851-7189
Mailing address
5107 MOORES MILL RD, HUNTSVILLE, AL 35811-1007
(256) 851-7190
(256) 851-7189

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21023
AL
261QP2300X
Primary Care Clinic/Center
21023
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113357
AL
Enumeration date
08/16/2010
Last updated
02/03/2011
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